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The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

Pulse 68 bpm

7 x 4 cm scar on the left lower abdomen.

Blood pressure 148/92

History of allergies

Last menstrual period

Shortness of breath

Pain 8/10

Brawny edema in lower extremities.

Temperature 101 SF

Use of medications at home

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"B"},"I":{"answers":"B"},"J":{"answers":"A"}}

Subjective data are based on what the patient reports. These include personal history and symptoms (e.g., allergies, menstrual period, pain level, and medication use).

Objective data are measurable facts that are observed or measured by the nurse, such as vital signs, physical findings (e.g., scars, edema), and lab results (e.g., temperature, blood pressure).

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Correct Answer is A

Explanation

A. A positive Romberg test occurs when a person loses balance or sways when standing with their eyes closed, indicating a problem with proprioception or balance.
B. Ataxia refers to a lack of coordination or motor control, but the Romberg sign specifically tests balance and proprioception, which is different from ataxia.
C. Lack of coordination may be part of ataxia or other neurological issues, but the Romberg sign specifically refers to balance issues when eyes are closed.
D. The Homans sign is used to test for deep vein thrombosis (DVT) and is not relevant to the test for balance and proprioception described in the scenario.

A. When asking if the client took his medications this morning B. When determining if the client is eating a well-balanced diet C. When asking the client about his receptiveness to the transfer D. When asking the client how he completes his ADLS

Correct Answer is A

Explanation

A. Closed-ended questions are useful for obtaining specific information, such as whether the client took their medication. Yes/no responses provide clarity and a quick assessment of adherence.
B. When determining if the client is eating a well-balanced diet. Open-ended questions would be more appropriate here to gather detailed information about the client’s dietary habits.
C. When asking the client about his receptiveness to the transfer. Open-ended questions would be better for understanding the client's feelings about the transfer, as they allow the client to express their thoughts fully.
D. When asking the client how he completes his ADLs. Open-ended questions allow clients to describe their ability to perform activities of daily living, which provides a more comprehensive view of their functional abilities.

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​​​​​​​The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

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Naxlex Comprehensive Predictor Exams

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.